• Title/Summary/Keyword: 통증간호

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Effects of Straight Body Exercise Therapy on Neck Pain, Necks Disability Index and Neck Length Among Turtle Neck Syndrome Patient (정체 운동이 거북목 증후군의 경부통증과 경추 기능장애지수 및 목 길이에 미치는 효과)

  • Kim, Seung Won;Kwak, Jong Hyeok;Kim, Gyeong Rip;Choi, Min Gyeong;Sung, Hyun Chul;Song, Geun Sung
    • Journal of the Korean Society of Radiology
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    • v.15 no.2
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    • pp.201-210
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    • 2021
  • This study was conducted not only to find out the effect of straight body exercise on neck pain, necks disability and neck length change of turtle neck syndrome patients but also to provide fundamental data for this field in the future. Number of 60 persons were selected by pre-test and divided to 21 persons in straight body exercise group, 19 persons in exercise group and 20 persons in control group(non-exercise group). 5 kinds of straight body exercise were applied in straight body exercise group, 8 kinds of strengthening cervical vertebral exercise were applied in exercise group and no exercise was applied in control group. Neck pain, necks disability index and neck length were measured before and after exercise and 10 weeks later as well. The data were analyzed by SPSS(v18.0). In straight body exercise group and exercise group, neck length, neck pain and necks disability index were significantly decreased after eight weeks of exercise and there was no significant difference in control group. Neck length which was checked every week in straight body exercise group and exercise group was significantly decreased and there were significant differences after 3 weeks.. After 2 weeks of 8 weeks exercise, neck length, neck pain and necks disability were checked again in post test and those results were maintained just like 8 weeks exercise status. As above results, it was more efficient in the straight body exercise group than exercise group and control group to decrease neck pain, necks disability and neck length of turtle neck syndrome patients. Furthermore, after 2 weeks of 8 weeks exercise, the results were maintained just like 8 weeks exercise status. Therefore, the author consider that straight body exercise will be effective exercise for turtle neck syndrome patients, and this study would provide fundamental data for this field in the future.

A Convergence Study of Insole Inserted Indoor Sandal Effectiveness in School Aged Flexible Flat-foot Patients (학령기 유연성 편평족 환아에서 치료용 깔창이 삽입된 실내화의 효과에 관한 융합 연구)

  • Lee, Jun Young;Moon, Jeong Eun;Cho, Yong Jin
    • Journal of the Korea Convergence Society
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    • v.10 no.11
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    • pp.199-207
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    • 2019
  • This study was a convergence study of pre- and post-treatment clinical outcomes and radiologic results of school aged flexible flat foot using insole inserted indoor sandal. Thirty five subjects were asked to wear insole inserted indoor sandals at least five times a week and at least four hours a day. Before and after the $4^{th}$ and $8^{th}$ week of the treatment, foot radiography and FAOS questionnaire were performed. Statistical analysis was performed using repeated measure ANOVA. The clinical results showed statistically significant improvement in FAOS symptom and pain category. Radiological results showed a tendency of improvement in the Anterioposterior Talo-$1^{st}$ Metatarsal angle, the Lateral Talo-$1^{st}$ Metatarsal angle, and the Talo-Horizontal angle, but no statistical significance was found. In this study, the use of insole inserted indoor sandal during the majority of the indoor life in school aged flexible flat foot patients is effective in alleviating symptoms and pain relief in the short term.

Variables influencing somatic symptoms of cancer patients: focusing on trait anger and anger expression styles (암환자의 신체화 증상에 영향을 미치는 요인 : 특성 분노와 분노표현양식을 중심으로)

  • Sung Ji Park;Kyoung-Suk Moon;Ji Sook Kang
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.4
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    • pp.249-258
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    • 2024
  • The purpose of this study was to investigate the somatic symptoms, trait anger, and anger expression styles perceived by cancer patients, examine their relationships, and identify variables influencing somatic symptoms. The mean of patients' somatic symptoms was 8.59 ± 5.34, trait anger was 1.78±0.53, and anger suppression was 2.02±0.36, which is the highest. In terms of differences in somatic symptoms according to the general characteristics of the subjects, stage 3 cancer stage was the highest compared to other stages(F=2.745, p=.045), and the presence of cancer-related pain was significantly higher compared to its absence(t=5.046, p<.001). Differences in trait anger according to the general characteristics of the patients were found to be significant based on monthly income(F=3.952, p=.004). Differences in anger expression styles were found by age(F=4.186, p=.017), monthly income(F=3.302, p=.012), and experience of cancer-related pain(t=2.715, p=.007) in anger suppression, while differences were observed by age(F=3.637, p=.028), employment status(t=2.563, p=.011), monthly income(F=3.580, p=.008), and duration of treatment(F=3.726, p=.026) in anger regulation. The somatic symptoms perceived by the patients had positive correlations with trait anger(r=.209, p=.006), anger suppression(r=.206, p=.006), anger expression(r=.199, p=.008), and anger regulation(r=.194, p=.009). It was found that a greater presence of cancer-related pain was related with a higher level of somatic symptoms of patients among other variables.

Factors Influencing Quality of Life in Patients with Breast Cancer on Hormone Therapy (항호르몬요법을 받는 유방암 환자의 삶의 질 영향 요인)

  • Hwang, Eunkyung;Yi, Myungsun
    • Journal of Korean Academy of Nursing
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    • v.44 no.1
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    • pp.108-117
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    • 2014
  • Purpose: The purpose of the study was to identify degrees of pain, menopause symptoms, and quality of life, and to identify factors influencing quality of life of patients with breast cancer who were on hormone therapy. Methods: A cross-sectional survey design was utilized. Data were collected using questionnaires from 110 patients with breast cancer who had been on hormone therapy for 3 months or more and were being treated at a university hospital in Seoul. Data were analyzed using ${\chi}^2$-test, t-test, ANOVA, Pearson correlation coefficient and multiple linear regression. Results: Mean age of the participants was 53.56 (SD=6.67) and 54 (51.4%) had stage 0 or I at the time of diagnosis. Most of the participants reported having pain and menopause symptoms (88.2% and 95.5% respectively). The mean score for quality of life was $87.84{\pm}21.17$. Pain, menopause symptoms and quality of life had strong correlations with each other (p<.005). Quality of life was explained by menopause symptoms (${\beta}$= -.71), economic status (${\beta}$=.20) and occupation (${\beta}$=.16). Conclusion: The results of the study suggest that menopause symptoms should be incorporated into oncologic nursing care to improve quality of life of patients with breast cancer on hormone therapy.

A Study on Sleep in Rheumatoid Arthritis Patients (류마티스 관절염 환자의 수면 및 관련 요인에 관한 연구)

  • Kim Keum-Soon;Yoo Kyung-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.6 no.2
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    • pp.198-210
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    • 1999
  • This study is to investigate sleep patterns of rheumatoid arthritis patients through a survey research. The subjects for this study were 97 patients registered in Hanyang University Hospital Rheumatoid Arthritis Center, and the period of data collection was from July 15, 1998 to August 30, 1998. The research instruments used in this study were the measures of sleep, pain, and fatigue, and SPSSWIN 8.0 Program was used for data analysis. The research results are as follows ; The patients went to bed between 11 and 12 p.m., but many of them found difficulty in falling asleep within 5 minutes. They woke up quite early at around 4 to 6 o'clock in the morning and remained in bed about 1 hour. Only 39 percent of the subjects reported satisfaction with their sleep. Fifty six percent of the subjects took a nap, generally did in the afternoon and 22.7 percent of them napped for half an hour. They suffered sleep disturbance, but their sleep environments were calm and comfortable, and they turn off the light when they went to sleep. As for the quality of sleep, over 50 percent of the subjects reported not being able to sleep deeply, 30 percent of the subjects woke up frequently during sleep, 60 percent experienced frequent arousal after sleep onset. Over 90 subjects slept for 6 to 8 hours. This shows that even though they had rheumatoid arthritis, the patients remained in bed for a sufficient period of time. They also reported waking up or turning frequently during sleep. The sense of fatigue from sleep disturbance scored a relatively high 35.84 points on average against the possible score of 64 points. Behavior for sleep promotion was very active. Sleep disturbance occurred in proportion to the sense of fatigue and pain, and was negatively correlated with quality of sleep. The pain had positive correlations with the illness duration, sleep disturbance and had a negative correlation with the quality of sleep.

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A Model of the Theoretical Structure of Factors Influencing College Womens도 Attitudes Toward Menstruation (여성의 월경에 대한 태도에 영향을 미치는 요인에 관한 구조모형구축)

  • 김정은
    • Journal of Korean Academy of Nursing
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    • v.23 no.2
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    • pp.224-244
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    • 1993
  • This study was designed to develop and test a model of the theoretical structure of factors influencing womens’ attitudes toward menstruation, specifically, premenstrual discomfort or pain, negative affect, disability and role acceptance. The conceptual framework was built through a review of the literature. For the purpose of testing the model, data were collected from April to June, 1992 with the use of Menstrual Distress Questionnaire, Menstrual Attitude Questionnaire, Sex Role Acceptance Scale. Data analysis was done with the SPSS PC/sup +/ for descriptive statistics and PC-LXSREL 7.13 for covariance structure. The study subjects consisted of 320 women college students in 2 three-year nursing junior colleges and 1 department of nursing of a college of medicine. The mean age of the subjects was 19, the mean age at monarch was 13.7, the mean menstrual cycle was 29.7 days and the mean menstrual duration was 5.3 days. The amount of menstrual discharge was moderate and the menstrual cycle variability was within 3 days. The score for pain, negative affect and disability were higher during the perimenstrual period than intermenstrual period. The fit of the hypothetical model with the six paths and the empirical data was high [X²(df=4)=. 57 (P=.966), GFI =.999, AGFI =.997, RMR=.008]. The hypotheses were supported on acceptable level of significance. 1) The higher the pain and negative affect, the stronger the disability. 2) The higher the pain, negative affect and disability, the more negative the attitudes toward menstruation. 3) The lower the women's role acceptance, the more negative the attitudes toward menstruation. The model was supported by the empirical data, and thus these results may help nurses and nursing scientists to understand and support these phenomena of womens’ health experience.

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The Effects of Preemptive Analgesia of Morphine and Ketorolac on Postoperative Pain, Cortisol, $O_2$ Saturation and Heart Rate (Morphine과 Ketorolac의 선행진통법이 수술 후 통증, 코티졸, 산소포화도 및 심박동 수에 미치는 효과)

  • Seo, Yun-Ju;Yoon, Hae-Sang
    • Journal of Korean Academy of Nursing
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    • v.38 no.5
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    • pp.720-729
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    • 2008
  • Purpose: This study investigated the preemptive analgesic effects of Morphine and Ketorolac on postoperative pain, cortisol, $O_2$ saturation and heart rate for the first 24 hr after abdominal surgery. Methods: Data collection was performed from April 1 to September 30, 2006. Forty patients undergoing a gastrectomy under general anesthesia were randomly allocated to the experimental or control group. The experimental group (20 patients) was administered Morphine and Ketorolac approximately 1 hr prior to skin incision, but the control group (20 patients) was administered Morphine and Ketorolac at peritoneum closure through a patient-controlled analgesia (PCA) pump. Postoperative pain, blood pressure, heart rate, cortisol, $O_2$ saturation, frequency of the PCA button pressed and doses of additional analgesics were observed through post operative 24 hr. Collected data was analyzed using t-test, $X^2$ test, repeated measures ANOVA, and Bonferroni methods. Results: Postoperative pain, cortisol, the frequency of PCA button pressed, and dose of additional analgesics of the experimental group were significantly lower than the control group. There were no statistical differences in blood pressure, heart rate and $O_2$ saturation between the experimental group and control group. Conclusions: We concluded that administration of morphine and ketorolac at 1 hr prior to skin incision resulted in decreasing postoperative pain, but it didn't affect blood pressure, heart rate or $O_2$ saturation for 24 hr after abdominal surgery.

A Study for Testing Validity of Korean Pain Measurement Tool (국어통증척도의 타당도 연구)

  • 김주희
    • Journal of Korean Academy of Nursing
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    • v.16 no.1
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    • pp.81-88
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    • 1986
  • The main purpose of this study was to clarify the validity with patient's general background of Korean Pain Measurement tool. The subjects of this study were 195 patient from the 8 Med-Surgical wards in H. University Hospital in Seoul. The study was conducted over a 40 day period from Oct. 5, 1985 to Nov. 15, 1985. All patients had pain. Korean Pain Measurement tool and simple discriptive pain scale as Graphic Rating Scale were used to measure the pain, The Pearson Correlation Coefficient test was exercised to measure the correlation between the two kinds of pain tools. To clarify the Sensitivity of Korean Pain tool was used frequency with patient's response. To compare the difference in Pain levels with patient's general background, ANOVA and t-test was employed. To compare the difference in pain levels existed due to pain area of the body used mean numbers. The outcome of the study was as follows : 1. A positive correlation did exist between two pain measurement tools. (r=.2028∼.7768, p <0.002) 2. The sensitive subclass in Korean Pain Measurement tools was 7 subclass. The 7 subclass are inflammatory repeated pain, simple stimulating, traction pressure, dull pain, cavity pain, digestion related pain, suffering. related pain. 3. The existence of levels of pain in accordance with patient's general background, the department of hospital, pain area of the body and school age was supported. Age, sex, religion, marrital status, economic status, acute or chronic status was not supported. 4. The existence of higher pain levels of the body area was anus, chest, and lower pain levels of the body area was eye, ear, nose and throat. Based on the above results, it was found that sensitive subclasses of the Korean Pain Measurement tool was 7 subclass among all of 20 subclass. Thus it can be concluded that Korean Pain Mea-surement tool when partialy used and supplemented, can be an effective tool of pain measurement for the patient in Korea.

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A Study of Pain, Self-esteem, perceived Health Status, and Self-efficacy in Patients with Chronic Arthritis (만성관절염 환자의 통증, 자아존중감, 건강상태 지각과 자기효능감에 관한 연구)

  • Sohng Kyeong Yae;Kang Sung Sil;Yoo Yang Sook
    • Journal of Korean Public Health Nursing
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    • v.15 no.1
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    • pp.111-124
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    • 2001
  • This study was conducted to identify the characteristics of pain, self-esteem, perceived health status, and self-efficacy and its influencing factors in patients with chronic arthritis. The data were obtained from 104 patients with chronic arthritis registered in one university hospital in Seoul, from May to August, 2000. For analysing the data, SAS program was used for t-test, ANOVA, Scheffe test, Pearson correlation, and stepwise multiple regression. The results were as follows: 1. The variables which showed significant difference with pain were sex, number of painful joints. 2. The variables which showed significant difference with perceived health status were age, diagnosis. number of painful joints. 3. The variables which showed significant difference with self-efficacy were duration of disease, number of painful joints. quality of sleeping. 4. Moderate negative correlation were observed between pain and perceived health status, self-efficacy, and low positive correlation was observed between self-esteem and perceived health status. Also self-esteem revealed moderate positive correlation with self-efficacy, and moderate positive correlation was observed perceived health status and self-efficacy. 5. The predictors to explain self-efficacy were number of painful joints, self-esteem, duration of disease, duration of exercise and pain. These predictors explained $36.05\%$ of variance of self-efficacy. In conclusion, the nursing intervention to improve self-efficacy for chronic arthritis patients focused not only physiological symptoms such as pain. but also psychosocial factors such as self-esteem.

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A Study on Pain and Anxiety of Burn Patients (화상환자가 지각하는 통증과 불안에 관한 연구)

  • Park Young Sook;Kim Eun Hee
    • Journal of Korean Public Health Nursing
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    • v.15 no.1
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    • pp.83-95
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    • 2001
  • The purpose of this study is to examine intensity of pain and anxiety of burn patients. This study selected 99 adult patients of 18 years old or older who have been hospitalized and treated for a second-degree burn at the surgery ward or burn ward of 3 university hospitals which are located in 2 metropolitan cities, and a university hospital in Seoul Special City from July 1 to October 20, 2000. This study used STAI(State-Trait Anxiety Inventory) developed by Spielberger, and translated by Kim, Jung Taek and Shin, Dong Kyun to examine the degree of anxiety and VAS to examine the pain. This study was carried out by interview and using SPSS 9.0 statistical program. Results were as follows : 1) As for general characteristics of the subjects, they were mostly male. 30s-40s, married, and high school graduates. 2) Forty-seven patients were burned by fire and $49.6\%$ of the patients had burn 10 to $20\%$ of BSA. seventy-nine percents of patients received one dressing change a day and $74.3\%$ received medication once or twice a day. 3) As for intensity of anxiety and pain. the mean intensity of pain was 6.41. The intensity of trait anxiety and the state anxiety were 39.76. and 51.81. 4) Subject's age was significantly different in their pain intensity and other variables were insignificant. Correlations between trait-anxiety and state-anxiety(r=.286, p=.004), and state-anxiety and VAS(r=.294, p=.003) showed weak correlation. There wasn't statistically any significance in trait- anxiety and VAS(r=.183, p=.070).

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